Basal cell carcinoma in childhood: Case report and literature review

Childhood onset basal cell carcinoma is uncommon. In addition to occurring in children with albinism, Bazex syndrome, basal cell carcinoma nevus syndrome, nevus sebaceus, radiotherapy-treated cancers, solid organ transplants, and xeroderma pigmentosum, childhood onset basal cell carcinoma has also o...

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Bibliographic Details
Published in:Journal of the American Academy of Dermatology 2007-11, Vol.57 (5), p.S97-S102
Main Authors: Griffin, John R., BS, Cohen, Philip R., MD, Tschen, Jaime A., MD, Mullans, Elizabeth A., MD, Schulze, Keith E., MD, Martinelli, Paul T., MD, Nelson, Bruce R., MD
Format: Article
Language:English
Subjects:
Biological and medical sciences
Carcinoma, Basal Cell - pathology
Carcinoma, Basal Cell - surgery
Child
Dermatology
General aspects
Humans
Male
Medical sciences
Mohs Surgery
Nose Neoplasms - pathology
Nose Neoplasms - surgery
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Treatment Outcome
Tumors of the skin and soft tissue. Premalignant lesions
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Summary:Childhood onset basal cell carcinoma is uncommon. In addition to occurring in children with albinism, Bazex syndrome, basal cell carcinoma nevus syndrome, nevus sebaceus, radiotherapy-treated cancers, solid organ transplants, and xeroderma pigmentosum, childhood onset basal cell carcinoma has also occurred, albeit less commonly, de novo. We describe a boy with idiopathic childhood onset basal cell carcinoma. Previously published children with de novo basal cell carcinoma were collected from computerized medical literature search (PubMed) and citations from earlier reports. To our knowledge, childhood onset idiopathic basal cell carcinoma has been observed in a total of 107 children, including our patient. Tumors were most commonly located on the head (90%). The tumors are most frequently nodular in appearance (52%) and in histology (at least 17%); however, aggressive histologic variants were observed in 20% of tumors. Basal cell carcinoma in children may be associated with prior sun exposure. The most common treatment is excision, with or without using the Mohs technique. However, 15 of 85 children, nearly 20%, developed recurrent tumors during a follow-up period ranging from 4 months to 20 years.
ISSN:0190-9622
1097-6787
DOI:10.1016/j.jaad.2006.09.032